A Cross-Sectional Study to Assess Prevalence and Management of Acute Gastroenteritis in Pediatric Inpatients of A Large Teaching Hospital
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2014, Vol 4, Issue 12
Abstract
BACKGROUND: In India, diarrheal diseases are the second leading cause of child mortality (20%) after acute respiratory infections (30%). Indian Academy of Pediatrics (IAP) 2006 recommendations about low osmolarity ORS with zinc supplements, antimicrobials in dysentery, antiemetics in severe vomiting, lactobacillus strains as probiotic and awareness generation among care givers about the disease for the management of acute gastroenteritis in children should be followed for further improvement in management and prevention of AGE.METHODOLOGY: A retrospective cross sectional study involving analysis of prescriptions of pediatric inpatients diagnosed and treated for acute gastroenteritis, using prevalence and patient profile documentation forms for a study period of 6 monthsi.e from July 2013 to December 2013.RESULTS: Of the total 210 inpatients, AGE was common in males (53.6%) than compared to female (46.6%) patients. AGE was most prevalent in children less than 2 years (81.4%). 69% of the patients suffered from some dehydration, 19% from severe dehydration and 12% with no dehydration. There were 2.8% cases of dysentery, 3.8% had their stool culture proven to be protozoal and 7.14% cases of secondary lactose intolerance. The hospital shows adherence to recommendations of IAP, 2006 i.e. P>0.005 except antimicrobials i.e. 78.1% (p < 0.001). CONCLUSION: The study demonstrates that hospital shows adherence to almost all the recommendations of IAP except antimicrobials. Persistence of fever >38ºC and diarrhea for more than 3 days was the common parameter for prescribing antimicrobials empherically and prophylactically
Authors and Affiliations
Sana Fatima 1 , Nuzhath Irfana 1 , Sabiha Mirza Mushtaq 1 , Qadri Mohammed Rizwan Masood 1 , Juveriya Parveen , Dr. U. Narayan Reddy 2 , , Dr. Mohammed Ilyaz*
Keywords
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